Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 4301108734 | MI |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 4301108734 | MI |
NPI | 1043629231 |
---|---|
Provider Name | Veronique Wan Fook Cheung |
First Address | Grand Rapids, MI 49503-2560 |
Second Address | Grand Rapids, MI 49503-2562 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2014 |
Last Update Date | 19/02/2021 |